| Regimental number | 562 |
| Place of birth | Beaufort Victoria |
| Religion | Church of England |
| Occupation | Clerk |
| Address | 'The Palms', Numurkah, Victoria |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Father, R Jackson, 'The Palms', Numurkah, Victoria |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | Australian Flying Corps, No 2 Squadron, Head-Quarters |
| AWM Embarkation Roll number | 8/5/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Flying Corps Details |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
